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    Endoscopic or surgical intervention in the biliary tree also may result in hepatic abscess formation viagra to buy in canada. About 12% of liver abscesses arise by direct extension from a contiguous source, such as a subphrenic abscess or empyema of the gallbladder. Such as endocarditis or severe dental disease, pyogenic infection may be carried to the liver in hepatic arterial blood flow from distant localized infections. 248 CHAPTER 31  LIVER ABScESS 269 Table 31-1.  Bacteriology of Pyogenic Liver Abscess GRAM-NEGATIVE AEROBES Escherichia coli Klebsiella sp.

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